Previous Chapter Chapter 12: Managing Nurse Aides to Promote Quality of Care in the Nursing Home

John F. Schnelle PH.D., M. Patrick McNees PH.D., Sandra F. Simmons M.A., Mark E. N. Agnew M.D. & Valerie C. Crooks D.S.W.

In: Improving Care in the Nursing Home: Comprehensive Reviews of Clinical Research

Chapter 12: Managing Nurse Aides to Promote Quality of Care in the Nursing Home

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Managing Nurse Aides to Promote Quality of Care in the Nursing Home
Managing nurse aides to promote quality of care in the nursing home
JohnF.SchnellePH.D.
M.PatrickMcNeesPH.D.
SandraF.SimmonsM.A.
MarkE. N.AgnewM.D.
ValerieC.CrooksD.S.W.

Nurse aides (NAs) comprise 66% of the work force in nursing homes (NHs) and provide most of the basic care for NH residents who require substantial assistance (63). Seventy-seven percent of residents exhibit severe functioning problems and 68% severe dementia (29). Many of these residents are not capable of simple life activities such as toileting, independent ambulation, or even self-feeding. NAs are responsible for providing such assistance. “Neglect” occurs when such daily assistance is not consistently delivered (26).

Unfortunately, neglect has often been documented in NHs. Reports issued by the Institute of Medicine (1986), Special Committee on Aging (1986), and the General ...

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